LACY PURDUM MA NPI 1174027627

NPI Information

  • NPI: 1174027627
  • Provider Name: LACY PURDUM, MA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 2 EASTON OVAL STE 450
    COLUMBUS, OH
    ZIP 43219
  • Phone: (614) 475-9500

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NPI Details

Lacy Purdum, MA is a mental health counselor in Columbus, OH. Lacy Purdum, MA NPI is 1174027627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2 EASTON OVAL STE 450
COLUMBUS, OH
ZIP 43219-035
Phone: (614) 475-9500

The enumeration date for this NPI number is 3/20/2018 and was last updated on 6/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthC.2103393OHIONo
2101YM0800XCounselorMental HealthE.2303565OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010684796MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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